Exercise therapy and bracing in patients with osteoporotic compression vertebral fractures

Marchenkova, Larisa; Makarova, Ekaterina

doi:10.17116/kurort20199604169

Cited by 7 publications

(4 citation statements)

References 46 publications

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“…Patients with postmenopausal OP are prone to serious adverse consequences, such as vertebral compression fractures and thoracolumbar kyphosis (TLK). TLK can cause serious physical, emotional, and economic consequences ( 29 – 31 ). This study found a positive correlation between kyphosis time (OR: 1.468, 95% CI: 1.076–2.001, P=0.015) and postmenopausal OP.…”

Section: Discussionmentioning

confidence: 99%

Low BMI, blood calcium and vitamin D, kyphosis time, and outdoor activity time are independent risk factors for osteoporosis in postmenopausal women

Tang,

Feng,

Pei

et al. 2023

Front. Endocrinol.

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AimTo explore the risk factors of osteoporosis in postmenopausal women in China.MethodThis study collected all patient data from January 2014 to December 2015. Basic information and questionnaires were collected from 524 postmenopausal women in Sanya and Hainan Province. The questionnaire was administered to the enrolled participants by endocrinologists. Biochemical parameters were measured using fasting blood samples, and bone density was measured by dual energy X-ray absorptiometry at the department of radiology of Hainan hospital, PLA General Hospital. Participants with an R-value of ≤-2.5 were diagnosed with osteoporosis. After deleting missing values for each factor, 334 participants were divided into the osteoporosis (n=35) and non-osteoporosis (n=299) groups according to the R-values.ResultsThe participants had a median age of 60.8 years (range: 44–94 years). Among the 334 postmenopausal women included in this study, 35 (10.5%) were diagnosed with osteoporosis. Univariate analysis showed statistically significant differences in age, BMI, type of work, alkaline phosphatase, years of smoking, blood calcium levels, kyphosis, fracture, and asthma between the two groups (P<0.05). In addition, multivariate logistic analysis showed that age (odds ratio [OR]: 1.185, 95% confidence interval [CI]: 1.085–1.293, P<0.001) and kyphosis times (OR:1.468, 95% CI: 1.076–2.001, P=0.015) were positively correlated with postmenopausal osteoporosis, whereas BMI (OR: 0.717, 95% CI: 0.617–0.832, P<0.001), blood calcium levels (OR: 0.920, 95% CI: 0.854-0.991, P=0.027), vitamin D levels (OR: 0.787, 95% CI: 0.674–0.918, P=0.002), and outdoor activity time (OR: 0.556, 95% CI: 0.338-0.915, P=0.021) were negatively correlated with postmenopausal osteoporosis.ConclusionLow BMI, blood calcium and vitamin D levels, kyphosis time, and outdoor activity time are independent risk factors for osteoporosis in postmenopausal women.

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Section: Discussionmentioning

confidence: 99%

Low BMI, blood calcium and vitamin D, kyphosis time, and outdoor activity time are independent risk factors for osteoporosis in postmenopausal women

Tang,

Feng,

Pei

et al. 2023

Front. Endocrinol.

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“…The patient's elbow joint was placed on the upper thigh to stretch the elastic band to make the elbow joint bend to 90°, and rest for 6 seconds to restore. 4 (2) The patient' s palm is wrapped with an elastic band, the other end of the elastic band is placed under the patient's feet, and the patient's affected arm is placed behind the body. Stretch the elastic band to extend the elbow joint to 120°, rest for 6 seconds and restore.…”

Section: Methodsmentioning

confidence: 99%

Scientific Physical Exercise to Prevent Muscle Injury in Competitive Sports

Liu

2021

Rev Bras Med Esporte

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Introduction: Various factors cause many sports traumas in groups engaged in mass sports activities, amateur sports training, and professional sports training in China that must be called to our attention. Objective: Scientific Sports Therapy is a scientific and reasonable systemic sports training program formulated for competitive athletes based on their physical and disease characteristics. Methods: This article conducted scientific sports therapy interventions on tennis elbow patients and analyzed multiple physiological indicators such as muscle endurance before and after the intervention. Results: There are significant differences in the athletes’ muscle strength and muscle endurance data after physical exercise therapy. Conclusion: We analyzed the causes of muscle damage and adopted scientific and practical sports therapy. In this way, coaches and athletes can find effective ways to prevent and manage muscle injuries, thereby improving competitive sports training. Level of evidence II; Therapeutic studies - investigation of treatment results.

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“…Postmenopausal osteoporosis patients have reduced bone mineral density and are prone to serious adverse consequences such as vertebral compression fractures and thoracolumbar kyphosis(TLK) (3,4). TLK can lead to serious physical, emotional, and economic consequences (5)(6)(7)(8). Previous studies believed that the thoracolumbar kyphosis was due to compression fracture of the vertebral body (9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Thoracolumbar kyphosis in postmenopausal osteoporosis patients without vertebral compression fractures

Guo¹,

Li²,

Zeng³

et al. 2022

Ann Transl Med

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Background: To investigate whether thoracolumbar kyphosis (TLK) of the spine is related to the reduction of bone mineral density (BMD) in postmenopausal osteoporosis women, and whether BMD of postmenopausal osteoporosis women can predict the occurrence of TLK. Methods: This retrospective cohort study included 224 postmenopausal female patients hospitalized for osteoporosis from December 2017 to December 2020, and the control group included 270 postmenopausal female patients hospitalized for thoracolumbar degenerative diseases. The age, body mass index (BMI), visual analogue scale (VAS), and BMD of the lumbar spine [BMD(L)] and femoral neck [BMD(F)] of all patients during admission were recorded. We measured and recorded the Cobb angle of thoracolumbar and the height of the thoracolumbar intervertebral space in the spinal X-ray lateral radiograph. The Pearson and Spearman correlation coefficients were used to calculate the correlation between each parameter in the group. The Chi-square test was used for categorical variables, the independent-sample t-test was used for normally distributed continuous variables, and two-sample non-parametric tests were used for non-normally distributed variables. Binary logistic regression analysis and receiver operating characteristic (ROC) curves were applied to determine independent risk factors and cut-off values, respectively. Results: There were significant differences in the BMD(L), BMD(F), thoracolumbar junction Cobb angle, lumbar spine Cobb angle, T11/12-L1/2 height difference of the posterior and anterior edge of intervertebral space (HDPAIS), single vertebra Cobb angle (SVC), procollagen type 1 N-terminal propeptide (PINP) and 25-hydroxyvitamin D [25-(OH)D] between the study and control groups. Through binary logistic regression analysis, we found that BMD(L), PINP, bone alkaline phosphatase, and 25-(OH)D were independent risk factors for future TLK in postmenopausal women. According to the ROC curve, the prediction accuracy of BMD(L) was the highest. By calculating the critical value, we found that when the BMD(L) T-score <−1.65, postmenopausal women were more likely to develop TLK. Conclusions: In postmenopausal osteoporosis patients, TLK will occur even if there is no compression fracture, and when the BMD(L) T-score <−1.65, postmenopausal women are more likely to develop TLK in the future.

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Exercise therapy and bracing in patients with osteoporotic compression vertebral fractures

Cited by 7 publications

References 46 publications

Low BMI, blood calcium and vitamin D, kyphosis time, and outdoor activity time are independent risk factors for osteoporosis in postmenopausal women

Low BMI, blood calcium and vitamin D, kyphosis time, and outdoor activity time are independent risk factors for osteoporosis in postmenopausal women

Scientific Physical Exercise to Prevent Muscle Injury in Competitive Sports

Thoracolumbar kyphosis in postmenopausal osteoporosis patients without vertebral compression fractures

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